Teacher Name

Question Title

* 2. Teacher Name

Teacher Contact Email

Question Title

* 3. Teacher Contact Email

Student Name

Question Title

* 4. Student Name

Student School ID Number

Question Title

* 5. Student School ID Number

The student is able to focus on reading material from the beginning to the end.
(1 = "strongly disagree", 2="agree", 3="neutral", 4="agree", 5 = "strongly agree")

Question Title

* 6. The student is able to focus on reading material from the beginning to the end.
(1 = "strongly disagree", 2="agree", 3="neutral", 4="agree", 5 = "strongly agree")

The student appears to enjoy reading self-selected texts.
(1 = "strongly disagree", 2="agree", 3="neutral", 4="agree", 5 = "strongly agree")

Question Title

* 7. The student appears to enjoy reading self-selected texts.
(1 = "strongly disagree", 2="agree", 3="neutral", 4="agree", 5 = "strongly agree")

The student understands reading material in class.
(1 = "strongly disagree", 2="agree", 3="neutral", 4="agree", 5 = "strongly agree")

Question Title

* 8. The student understands reading material in class.
(1 = "strongly disagree", 2="agree", 3="neutral", 4="agree", 5 = "strongly agree")

Additional Notes/Comments

Question Title

* 9. Additional Notes/Comments

T